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General NPI Number Information
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NPI Number | 1366941650
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Entity Type | Individual
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Provider Name | TYLER FEUERBORN APRN-C
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Gender | Male
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 1538 N LEWIS AVE
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City | TULSA
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State | OK
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Zip | 74110-2535
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Country | US
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Telephone | 918-400-7001
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Fax | 539-202-5070
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Provider Business Mailing Address
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Address Line | 1515 S BUCKNER BLVD STE 141
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City | DALLAS
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State | TX
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Zip | 75217-1794
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Country | US
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Telephone | 214-974-9126
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Fax | 469-574-0383
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9407120
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 228312
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1061932
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN9407120
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License Number State | FL
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